ELLIS R JR. TAYLOR (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1033229117

ELLIS R JR. TAYLOR (MD) is a healthcare provider. based in St louis, Missouri. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. R1C18 (MO). The NPI Number for ELLIS R JR. TAYLOR (MD) is 1033229117

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
ELLIS R JR. TAYLOR (MD)
NPI
1033229117
Phone
(314) 453-0600
Address
940 W PORT PLAZA
Enumeration Date
30 August 2006
Last Update Date
2 January 2013

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3144341500
Graduation Year
1980 (46 years ago)
PAC ID
2264560853
Group Practice PAC ID
6204720667
Professional Enrollment ID
I20100430000487
Address ID
MO630173406CH232XXRDXX587
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,228 ANESTHESIOLOGY in MO

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Provider Addresses for ELLIS R JR. TAYLOR (MD)

  • West Port Plaza Drive, Maryland Heights, Saint Louis County, Missouri, 63146, United States

    STE 270

    ST LOUIS, MO 63146

    Phone: (314) 453-0600

    Fax: (314) 453-0083

    Type: Mailing

  • St. Luke's Hospital, 232, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 63017

    Phone: (314) 205-6917

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-01-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100430000487IAnesthesiologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope5554$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope5353$0
00812Anesthesia for exam of colon using an endoscope1515$0
01844Anesthesia for placement or revision of blood flow shunt1414$0
View full utilization report →

Insurance plans in this area (ZIP 63146)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204720667View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

Is there an official ID for ELLIS R JR. TAYLOR (MD) in U.S. healthcare records?
The official identifier for ELLIS R JR. TAYLOR (MD) is NPI 1033229117.
Is ELLIS R JR. TAYLOR (MD) shown as active in public data?
Registry records indicate ELLIS R JR. TAYLOR (MD) maintains an active NPI.
What clinical focus is listed for ELLIS R JR. TAYLOR (MD)?
At a glance, ELLIS R JR. TAYLOR (MD) is tied to Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is ELLIS R JR. TAYLOR (MD) registered?
Use St Louis, Missouri as the headline location for ELLIS R JR. TAYLOR (MD) here.
When was this NPI issued?
Enumeration for ELLIS R JR. TAYLOR (MD) is noted as August 30, 2006 where the registry provides it.

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